Most Relevant Information
Provider Data
| NPI Number: | 1003520438 |
| Provider Name: | SHAQUILLIEA LEWIS |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/10/2023 |
| Last Updated: | 01/15/2023 |
Provider Practice Location
20300 SUPERIOR RD
TAYLOR
MI
481806331
Practice Location Phone/Fax
| Phone: | 7347857700 |
| Fax: |
Provider Mailing Location
49021 DENTON RD APT 304
VAN BUREN TWP
MI
481112123
Provider Mailing Phone/Fax
| Phone: | 3179148231 |
| Fax: |